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伴有脑栓塞的胸段左颈动脉创伤性动脉瘤。

Traumatic aneurysm of the intrathoracic left carotid artery with cerebral embolization.

作者信息

Pinkerton J A, MacGee E E, Romine K G

出版信息

J Trauma. 1977 Dec;17(12):975-7. doi: 10.1097/00005373-197712000-00016.

DOI:10.1097/00005373-197712000-00016
PMID:592449
Abstract

The presentation and management of a young male patient with a traumatic aneurysm of the intrathoracic portion of the left common carotid artery from a football injury, complicated by cerebral embolization, is detailed. At operation 6 weeks afterward the aneurysm was isolated and ligated and the patient was discharged 19 days postoperation with plans for physical and speech rehabilitation. At 14 months a chronic subdural hematoma which caused some seizures was removed, and the patient's neurologic status is continuing to improve. This appears to be the first report of an isolated blunt injury to this branch of the aortic arch.

摘要

详细介绍了一名年轻男性患者,因足球损伤导致左颈总动脉胸段外伤性动脉瘤,并伴有脑栓塞。六周后手术,分离并结扎动脉瘤,患者术后19天出院,计划进行身体和言语康复治疗。14个月时,清除了导致癫痫发作的慢性硬膜下血肿,患者的神经状态持续改善。这似乎是主动脉弓这一分支孤立钝性损伤的首例报告。

相似文献

1
Traumatic aneurysm of the intrathoracic left carotid artery with cerebral embolization.伴有脑栓塞的胸段左颈动脉创伤性动脉瘤。
J Trauma. 1977 Dec;17(12):975-7. doi: 10.1097/00005373-197712000-00016.
2
Common carotid artery aneurysm after blunt trauma.钝性创伤后颈总动脉瘤
J Trauma. 1979 Sep;19(9):707-9. doi: 10.1097/00005373-197909000-00016.
3
Blunt carotid artery injury: devastating consequences of undetected pseudoaneurysm.钝性颈动脉损伤:未被发现的假性动脉瘤的灾难性后果。
J Trauma. 1995 Nov;39(5):1012-4. doi: 10.1097/00005373-199511000-00036.
4
[Lateral wound of the primary carotid artery. Post-traumatic aneurysm revealed by two successive left hemiplegias].[原发性颈动脉外侧伤口。两次连续左侧偏瘫后发现创伤性动脉瘤]
Presse Med (1893). 1971 Jul 10;79(34):1529-32.
5
[A case report of innominate and carotid artery aneurysms causing cerebral embolism].[无名动脉及颈动脉动脉瘤致脑栓塞一例报告]
Kyobu Geka. 1994 Sep;47(10):842-5.
6
[Extracranial post-traumatic thrombosis of the internal carotid artery].[颈内动脉颅外创伤后血栓形成]
Zh Vopr Neirokhir Im N N Burdenko. 1981 Nov-Dec(6):22-4.
7
Combined traumatic avulsion of the aortic valve and rupture of the left common carotid artery.主动脉瓣复合性创伤性撕脱伤并左颈总动脉破裂
Ann Thorac Surg. 1992 Jul;54(1):157-8. doi: 10.1016/0003-4975(92)91169-a.
8
[Traumatic thromboses of the cerebral arteries].[脑动脉创伤性血栓形成]
Rozhl Chir. 1982 Feb;61(2):84-6.
9
Traumatic aneurysm associated with fibrointimal proliferation of the common carotid artery following blunt trauma: case report.
J Trauma. 1993 Feb;34(2):297-9. doi: 10.1097/00005373-199302000-00023.
10
Blunt carotid artery injury: difficult therapeutic approaches for an underrecognized entity.
Surgery. 1994 Mar;115(3):375-81.

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